Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DEREK RICHARD
Active Sole ProprietorDEREK RICHARD is a 2279C0205X healthcare provider located in MISSOULA, Montana. NPI 1194694588 is currently active in the NPPES registry. Verify at CMS.
2279C0205X · MISSOULA, MT
Registration Details
- NPI Number
- 1194694588
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 3, 2025 (0.80599281640687 yrs)
- Last Updated
- Nov 3, 2025
- License
-
RCP-RCP-LIC-9520 (MT)
- Sole Proprietor
- Yes
Practice Information
- Address
-
500 W BROADWAY STMISSOULA, MT, 598024008Browse MT providers · Browse ZIP 59802
- Phone
- 4065437271
- Primary Specialty
-
2279C0205X
2279C0205X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.